ปัจจัยทำนายการจัดการตนเองในผู้สูงอายุโรคข้อเข่าเสื่อม

Naruephat  Duwao; Rojanee Chintanawat; Nattaya  Suwankruhasn

Authors

Naruephat Duwao Faculty of Nursing, Chiang Mai University
Rojanee Chintanawat Faculty of Nursing Chiangmai University
Nattaya Suwankruhasn Faculty of Nursing Chiangmai University

Keywords:

self-management, factors predicting self-management, health literacy, social support, perceived self-efficacy, older persons with knee osteoarthritis

Abstract

Objective: To examine self-management exercised by older persons with knee osteoarthritis and the predictive power that the factors of health literacy, social support, and perceived self-efficacy could have on self-management

Design: Predictive correlational research

Methodology: The participants were 120 older persons diagnosed with knee osteoarthritis and treated at four health-promoting hospitals in Muang district, Phrae province. The data collection sites were selected through multi-stage random sampling, whilst the subjects were recruited by means of convenient sampling. The data collection period was from August to October 2021. The research tools consisted of a personal information questionnaire, a self-management evaluation, a health literacy evaluation, a social support evaluation, and a perceived self-efficacy evaluation. The data were analysed using descriptive statistics and multiple regression analysis.

Results: The subjects displayed a high overall score on self-management and also a high score on each of the three factors. Health literacy, social support, and perceived self-efficacy were jointly capable of predicting 74% self-management amongst the subjects, at a statistically significant level of .001. Of these factors, social support had the highest predictive power for self-management (β = .557, p < .001), followed by perceived self-efficacy (β = .342, p < .001), and health literacy (β = .133, p < .001), respectively.

Recommendations: Healthcare professionals may apply the research findings to developing a self-management programme for older persons with knee osteoarthritis, with emphases on social support, perceived self-efficacy, and heath literacy.

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